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Home My WebLink About2834 ANSBOROUGH AVINVOICE DATE DUE DATE INVOICE # TOTAL DUE 01/27/2026 03/03/2026 2026-00000308 $100.00 Customer #: 20752 HY-VEE #1 2834 ANSBOROUGH AV WATERLOO, IA 50701 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable 715 Mulberry St WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL FIRE INSPECTION - 2834 ANSBOROUGH AVE - 01 /22/2026 FOR BILLING INQUIRY: (319)291-4323 Description Total Price REINSPECTION 1 $100.00 CUSTOMER # BILLING DATE DUE DATE INVOICE # CHARGES 20752 01/27/2026 03/03/2026 2026-00000308 $100.00 Less Prepayment Total Due —+ City of Waterloo $0.00 $100.00 Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. Waterloo Fire Rescue Inspection Report Hy-Vee - 2834 Ansborough AVE, BLDG 2834 Ansborough Ave, Waterloo IA 50701 INSPECTION DETAILS Inspection Date 01122/2026 Lead lnspector BRAD BALDWIN Inspection Type Annual Inspection (1Yr) Other Inspectors N/A 425 E. 3rd Street Inspection Number 16345 Shift Station Unit N/A NIA N/A SUMMARY OF INSPECTION 55 12 ® 9 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: BRAD BALDWIN brad.baldwin@waterloo-ia.org, 3192914319 GENERAL NOTES BRAD BALDWIN - 01/23/2026 @ 13:57 $100 annual inspection fee BRAD BALDWIN - 01/23/2026 @ 14:47 Reinspection Date 02/13/2026 Corrected during inspection: (1) Chained loose compressed gas tanks in mezzanine. (2) Repaired Club Room electric room fire door to self shut and latch. (3) Removed obstructions to clear aisle space in back storage area, maintain minimum 36" in aisle width. BRAD BALDWIN - 01/23/2026 @ 14:52 Generator test report BRAD BALDWIN - 01/23/2026 @ 14:53 • Commercial Fire Inspector - brad.baldwin@waterloo-ia.org - Work: 319-291-4319 (#5) - Cell: 319-230-1224 GENERATED ON 1/23/26, 2:59 PM 1 OF 6 BRAD BALDWIN - 01123/2026 @ 14:53 • Provide corrections to avoid progressive re -inspection fees beginning at $100. Beer/Liquor application will not be signed until violations and hazards corrected BRAD BALDWIN - 0112312026 @ 14:53 • If all corrections are made before the scheduled re -inspection date, you can call to set up an earlier re -inspection. Normal operating hours for inspections & re -inspections are Monday - Friday, 9:00 a.m. - 4:00 p.m. *****Re inspection fees may be assessed for subsequent re -inspections. Re - inspection fees start at $100, then $150, and $200 for all subsequent re -inspections. SIGNATURES Contact signature No signature Report completed post inspection Inspector signature CJ McBreen District Store Director 2026 Date: BRAD BALDWIN CHECKLISTS Means of Egress Status Code Description Fail 1104.16.5.1 - Examination. Fire escape stairways and balconies shall be examined for structural adequacy and safety in accordance with Section 1104.16.5 by a registered design professional or others acceptable to the fire code official every 5 years, or as required by the fire code official. An inspection report shall be submitted to the fire code official after such examination. Emergency Equipment Status Code Fail Fail 1203.2.15 - Means of egress illumination. Emergency power shall be provided for means of egress illumination in accordance with Sections 1008.3 and 1104.5.1. 1203.2.6 - Exit signs. Emergency power shall be provided for exit signs as required in Section 1013.6.3. The system shall be capable of powering the required load for a duration of not less than 90 minutes. 01123/2026 Location: Fire escape (5 year inspection) Comments: Provide inspection by design professional and report including deficiencies corrected to compliance engine of fire escape. Currently 268 days past due. Description Comments: Provide documentation of testing all emergency egress lighting in building including repairs made to maintain working properly, documentation shall include signature and date of responsible person. Comments: Provide documentation of testing all exit signs in building including repairs made to maintain working properly, documentation shall include signature and date of responsible person. GENERATED ON 1/23/26, 2:59 PM 2 OF 6 Additional Codes Status Code Fail Fail 3207.3 - Pile dimension and height limitations. Pile dimensions, the maximum permissible storage height and pile volume shall be in accordance with Table 3206.2. 5303.5.3 - Securing compressed gas containers, cylinders and tanks. Compressed gas containers, cylinders and tanks shall be secured to prevent falling caused by contact, vibration or seismic activity. Securing of compressed gas containers, cylinders and tanks shall be by one of the following methods: 1.Securing containers, cylinders and tanks to a fixed object with one or more restraints. 2.Securing containers, cylinders and tanks on a cart or other mobile device designed for the movement of compressed gas containers, cylinders or tanks. 3. Nesting of compressed gas containers, cylinders and tanks at container filling or servicing facilities or in sellers' warehouses not open to the public. Nesting shall be allowed provided that the nested containers, cylinders or tanks, if dislodged, do not obstruct the required means of egress. 4.Securing of compressed gas containers, cylinders and tanks to or within a rack, framework, cabinet or similar assembly designed for such use. Exception: Compressed gas containers, cylinders and tanks in the process of examination, filling, transport or servicing. Description Location: Back storage area Comments: Remove storage below 15ft, refer to fire sprinkler riser placard for allowed storage height. Location: Back storage Comments: Secure compressed gas cylinders with chain to avoid tip over. GENERATED ON 1/23/26, 2:59 PM 3 OF 6 Electrical Safety Status Code Fail 603.2.2 - Unapproved conditionsOpen electrical terminations. Open junction boxes and open -wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes. Fail 603.6 - Extension cords. Extension cords and flexible cordsshall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords and flexible cordsshall not be affixed to structures, extended through walls, ceilings or floors, or under doors or floor coverings, nor shall such cords be subject to environmental damage or physical impact. Extension cords shall be used only with portable appliances. Extension cords marked for indoor use shall not be used outdoors. Description Location: Meat bunker Comments: Outlet below missing cover. Location: Near Customer Service counter Comments: Remove extension cord behind video board. GENERATED ON 1/23/26, 2:59 PM 4 OF 6 Fail 603.6 - Extension cords. Extension cords and flexible cordsshall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords and flexible cordsshall not be affixed to structures, extended through walls, ceilings or floors, or under doors or floor coverings, nor shall such cords be subject to environmental damage or physical impact. Extension cords shall be used only with portable appliances. Extension cords marked for indoor use shall not be used outdoors. Commercial Cooking Hood Suppression System Status Code Fail 606.3.3 - Cleaning. Hoods, grease -removal devices, fans, ducts and other appurtenances shall be cleaned at intervals as required by Sections 606.3.3.1 through 606.3.3.3. Fire Resistant Construction Maintenance Status Code Fail 705.2.4 - Door operation. Swinging fire doors shall close from the full -open position and latch automatically. Portable Fire Extingusihers Status Code Location: Printer near customer service counter Comments: Remove printer from extension cord. Extension cords allowed for temporary use, appliance shall plug to wall outlet. Description Location: Kitchen exhaust hood Comments: Provide corrections to deficiencies (6) noted in Compliance Engine per Proshield Fire & Safety. Contractor shall upload corrections report to Compliance Engine. Description Location: Club Room Elevator Room Comments: Repair or replace door that failed to self shut and latch. Description Fail 906.2 - General requirements. Portable fire extinguishers shall be selected, installed and maintained in accordance with this section and NFPA 10. Exceptions: 1.The distance of travel to reach an extinguisher shall not apply to the spectator seating portions of Group A-5 occupancies. 2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry -chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device, provided that all of the following conditions are met: 2.1.Electronic monitoring shall confirm that extinguishers are properly positioned, properly charged and unobstructed. 2.2.Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal. 2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed. 2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10. 3.1n Group 1-3, portable fire extinguishers shall be permitted to be located at staff locations. Location: Club Room "Comms Room" Comments: Provide annual service to extinguisher, currently past due. Fail 906.5 - Conspicuous location. Portable fire extinguishers shall be located in conspicuous locations where they will have ready access and be immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. Location: Back storage mezzanine Comments: Relocate fire extinguisher behind refrigerant tanks to maintain ready access for immediate use. GENERATED ON 1/23/26, 2:59 PM 5 OF 6 Statement of Fees FEE Invoice Date Inspection Fee Date Paid Amount Paid NIA S100.00 Invoice Number Check Number Transaction Number NIA NIA NIA 6 OF 6 GENERATED ON 1/23/26, 2:59 PM